<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Order_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_id" data-rule="required" data-source="order/index" class="form-control selectpage" name="row[order_id]" type="text" value="{$row.order_id}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Order_sn')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_sn" data-rule="required" class="form-control" name="row[order_sn]" type="text" value="{$row.order_sn}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Create_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-create_time" data-rule="required" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[create_time]" type="text" value="{$row.create_time|datetime}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Record_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-record_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[record_time]" type="text" value="{$row.record_time|datetime}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Request_param')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-request_param" class="form-control " rows="5" name="row[request_param]" cols="50">{$row.request_param}</textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Response_code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-response_code" class="form-control" name="row[response_code]" type="text" value="{$row.response_code}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Response_msg')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-response_msg" class="form-control" name="row[response_msg]" type="text" value="{$row.response_msg}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Record_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="recordStatusList" item="vo"}
            <label for="row[record_status]-{$key}"><input id="row[record_status]-{$key}" name="row[record_status]" type="radio" value="{$key}" {in name="key" value="$row.record_status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Out_request_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-out_request_no" class="form-control" name="row[out_request_no]" type="text" value="{$row.out_request_no}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Verify_depart')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-verify_depart" class="form-control" name="row[verify_depart]" type="text" value="{$row.verify_depart}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Depart_trade_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-depart_trade_no" class="form-control" name="row[depart_trade_no]" type="text" value="{$row.depart_trade_no}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
